If you are a doctor and would like to refer a patient to the Minnesota Diagnostic Center (MDC), please download and complete the MDC Patient Referral Form below. After completing the form, please fax to 612.879.9116 or submit the request online via the link below. This form gives us valuable information regarding your patient's history and symptoms. However, it is still necessary for you or your patient to call 612.879.1549 to schedule an appointment.
Please complete the downloadable MDC Referral Form below and send to us as an attachment via the
MDC Referral Secure Online Portal.
For Online Requests, we will contact your patient to schedule an appointment.
MDC Patient Referral Form (439 KB PDF)
Make an Appointment:
Thank you for your referral. It is our priority at MDC to provide the highest quality service, state-of-the-art technology and clinically relevant interpretations.